Shelvey Jean Wallace, LCSW - Medicare Counselor in Durham, NC

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Shelvey Jean Wallace, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Durham, North Carolina. Her current practice location is 5306 Nc Highway 55 Ste 105, Durham, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 457-1517.

Shelvey Jean Wallace is licensed to practice in North Carolina (license number C010042) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1588900989.

Contact Information

Shelvey Jean Wallace, LCSW
5306 Nc Highway 55 Ste 105,
Durham, NC 27713-7812
(919) 457-1517
(919) 363-7697

Map and Direction


Healthcare Provider's Profile

Full NameShelvey Jean Wallace
GenderFemale
SpecialitySocial Worker - Clinical
Location5306 Nc Highway 55 Ste 105, Durham, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1588900989
  • Provider Enumeration Date: 12/13/2012
  • Last Update Date: 10/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1153682604
  • Enrollment ID: I20180227000015

Medical Identifiers

Medical identifiers for Shelvey Jean Wallace such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588900989NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) LCAS-21629 (North Carolina)Secondary
1041C0700XSocial Worker - Clinical C010042 (North Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Shelvey Jean Wallace allows following entities to bill medicare on her behalf.
Entity NameDaymark Recovery Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558329243
PECOS PAC ID: 0547233975
Enrollment ID: O20040820000576
Entity NameMonarch
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801116405
PECOS PAC ID: 0244273852
Enrollment ID: O20050728000103
Entity NameOctober Road Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144375767
PECOS PAC ID: 3577611433
Enrollment ID: O20090501000491
Entity NameSenior Health And Education Partners Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205237245
PECOS PAC ID: 8729304290
Enrollment ID: O20150226002113
Entity NameRha Behavioral Health Nc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700318680
PECOS PAC ID: 4688948656
Enrollment ID: O20170914003770
Entity NameBmsc Nc Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831611649
PECOS PAC ID: 9739445552
Enrollment ID: O20171113000126
Entity NameEventus Wholehealth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548759392
PECOS PAC ID: 6002169539
Enrollment ID: O20181030001281
Entity NameAscending Hope Counseling Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801410600
PECOS PAC ID: 5496179947
Enrollment ID: O20200716003976

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelvey Jean Wallace is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Shelvey Jean Wallace, LCSW
5306 Nc Highway 55 Ste 105,
Durham, NC 27713-7812

Ph: (919) 457-1517		Shelvey Jean Wallace, LCSW
5306 Nc Highway 55 Ste 105,
Durham, NC 27713-7812

Ph: (919) 457-1517

Reviews and Comments


Social Worker in Durham, NC


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.